Cyanotic limb in a newborn: A peculiar presentation of septic hip

Mordehai, Jacob; Kurzbart, E.; Cohen, Eugen; Aj, Mares

doi:10.1097/00006565-199712000-00015

Cited by 3 publications

(2 citation statements)

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“…Once suspected, rapid diagnosis is imperative. It can usually be confirmed by aspiration, plain Xray, and ultrasound; other authors also recommend Tc-99 scintigraphy or MRI [3,4,7,9,13,14,17]. As transport and sedation maybe necessary for the latter two examinations, we do not recommend them primarily for small, preterm infants.…”

Section: Discussionmentioning

confidence: 95%

“…In the third case a peripheral venous cannula was the probable cause of the infection. The clinical signs are variable and include pseudoparalysis, pain, fever, cyanosis of the limb, local swelling, poor feeding, and irritability [5,7,9,13] as well as deterioration of the general condition as seen in our patients. Once suspected, rapid diagnosis is imperative.…”

Section: Discussionmentioning

confidence: 99%

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Report of an Uncommon Cluster of Septic Arthritis of the Hip in Premature Newborns: Three Cases in a Period of 3 Months

Kaczala

McDougall²,

Slongo³

et al. 2005

Eur J Pediatr Surg

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We report an uncommon cluster of this rare condition which occurred within a very short period of time in our unit. We reviewed the current literature and observed that the diagnosis is often delayed, which can have very serious consequences for the outcome. Our 3 patients have had an uncomplicated course so far and follow-up examination at almost one year was normal. A high index of suspicion for the diagnosis and early and aggressive treatment is necessary.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Report of an Uncommon Cluster of Septic Arthritis of the Hip in Premature Newborns: Three Cases in a Period of 3 Months

Kaczala

McDougall²,

Slongo³

et al. 2005

Eur J Pediatr Surg

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Pneumococcal Septic Arthritis: Review of 190 Cases

et al. 2003

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This article reports 13 cases of pneumococcal septic arthritis and reviews another 177 cases reported since 1965. Of 2407 cases of septic arthritis from large series, 156 (6%) were caused by Streptococcus pneumoniae. Mortality was 19% among adults and 0% among children. Pneumococcal bacteremia was the strongest predictor of mortality. At least 1 knee was involved in 56% of adults. Polyarticular disease (36%) and bacteremia (72%) were more common among adults with septic arthritis caused by S. pneumoniae than among adults with other causative organisms. Only 50% of adults with pneumococcal septic arthritis had another focus of pneumococcal infection, such as pneumonia. Functional outcomes were good in 95% of patients. Uncomplicated pneumococcal septic arthritis can be managed with arthrocentesis and 4 weeks of antibiotic therapy; most cases of pneumococcal prosthetic joint infection can be managed without prosthesis removal. A fatal case of septic arthritis caused by a b-lactam-resistant strain of S. pneumoniae is also presented.Pneumococcal septic arthritis is described as "rarely encountered" [1] or "unusual" [2]. However, Streptococcus pneumoniae causes septic arthritis more often than is generally thought. Ispahani et al.[3] last reviewed pneumococcal septic arthritis in this journal, reporting 32 cases and reviewing 58 cases from large series published since 1965. We present 13 previously unreported cases and review 177 cases of pneumococcal septic arthritis reported in the English-language literature since 1965 , emphasizing the frequency of bacteremia and polyarticular disease among adults, the absence of extra-articular infection in many patients, and the emerging problem of pneumococcal antibiotic resistance. We report 2 cases of pneumococcal prosthetic joint infection and a case of pneumococcal arthritis in an adult that was caused by a strain of S.

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